NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC (EIN 56-2273242)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-09-13
- IRS object ID
- 202402579349300005
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-09-13T10:51:45-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 521022232 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SNYDER COHN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11200 ROCKVILLE PIKE SUITE 415 | AddressLine1Txt |
| City | NORTH BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20852 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562273242 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL ASSOCIATION OF FREE AND | BusinessNameLine1Txt |
| Business Name Line2 | CHARITABLE CLINICS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 7036477427 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 DIAGONAL ROAD SUITE 600 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 223142840 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICOLE LAMOUREUX | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7036477427 | PhoneNum |
| Signature | 2024-09-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEITH JENNINGS | PreparerPersonNm |
| PTIN | P01319883 | PTIN |
| Phone | 3016526700 | PhoneNum |
| Preparation | 2024-09-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NICOLE LAMOUREUX | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 DIAGONAL ROAD SUITE 600 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 223142840 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,920,556 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NAFCCLINICS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO ENSURE THAT THE MEDICALLY UNDERSERVED HAVE ACCESS TO AFFORDABLE QUALITY HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,382,370 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,091,531 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $716,693 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $717,465 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,831 | PYInvestmentIncomeAmt |
| CY Investment Income | $109,432 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $4,125,894 | PYTotalRevenueAmt |
| CY Total Revenue | $3,918,428 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,530,340 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,416,926 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $606,443 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $752,867 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $97,806 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,156,912 | PYOtherExpensesAmt |
| CY Other Expenses | $1,562,589 | CYOtherExpensesAmt |
| PY Total Expenses | $5,293,695 | PYTotalExpensesAmt |
| CY Total Expenses | $3,732,382 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,167,801 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $186,046 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,875,563 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,651,824 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $779,229 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $381,040 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,096,334 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,270,784 | NetAssetsOrFundBalancesEOYAmt |
| Mission | BUILDING HEALTHY COMMUNITIES FOR ALL THROUGH QUALITY, EQUITABLE, ACCESSIBLE HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,390,158 | ExpenseAmt |
| Revenue | $717,465 | RevenueAmt |
| Desc | THE NAFC ANNUAL SYMPOSIUM AND ADDITIONAL EDUCATION SERVICES ARE THE ONLY NATIONAL MEETING SOLELY DEDICATED TO PROVIDING HEALTH EDUCATION AND TRAINING FOR NAFC STAFF AND VOLUNTEERS WHO PROVIDE HEALTH CARE TO THE MEDICALLY UNDERSERVED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,628,209 | ExpenseAmt |
| Grant | $1,416,926 | GrantAmt |
| Desc | CLINICS ESTABLISH AND MAINTAIN SERVICES THAT SUPPORT AND BENEFIT THE WORK OF THE MEMBERS IN THEIR EFFORTS TO PROVIDE HEALTH CARE TO THE UNINSURED AND UNDERINSURED. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,018,367 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | AR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | RI | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WV | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7036477427 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1800 DIAGONAL ROAD SUITE 600 | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 223142840 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MAUREEN TOMOSCHUK | |||||||
| CHAIRMAN | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ISI IKHAREBHA GREEN | |||||||
| VICE CHAIRMAN | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AVONTE JACKSON | |||||||
| TREASURER | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GISELA BRETONES | |||||||
| SECRETARY | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE GARRIS | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA DELORENZO | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| HINA AZAM | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ADAM BRADLEY | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DONNEY JOHN | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| DR BOBBY KAPUR | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| KAT MASTRANGELO | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ANGIE MCLAUGHLIN | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| AMANDA MISSEY | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| NADINE SINGH | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| NICOLE LAMOUREUX | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $205,833 | $0 | $5,881 | ||
| KERRY THOMPSON | |||||||
| VICE PRESIDENT | 40.00 | $145,833 | $0 | $10,396 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $351,666 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $16,277 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MWW GROUP LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 67186 | AddressLine1Txt |
| City | NEWARK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 071016602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PUBLIC RELATIONS | ServicesDesc |
| Compensation | $124,494 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $100,158 | GovernmentGrantsAmt |
| All Other Contributions | $2,991,373 | AllOtherContributionsAmt |
| Total Contributions | $3,091,531 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBERSHIP DUES | 621400 | $445,622 | $445,622 |
| SYMPOSIUM | 621400 | $271,843 | $271,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $717,465 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,526 | TotalRevenueColumnAmt |
| Exclusion | $87,526 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,034 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,128 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,906 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,906 | TotalRevenueColumnAmt |
| Exclusion | $21,906 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,918,428 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $717,465 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $109,432 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,416,926 | TotalAmt |
| Program Services | $1,416,926 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,714 | TotalAmt |
| Program Services | $167,420 | ProgramServicesAmt |
| Management And General | $15,224 | ManagementAndGeneralAmt |
| Fundraising | $29,070 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,445 | TotalAmt |
| Program Services | $305,485 | ProgramServicesAmt |
| Management And General | $134,120 | ManagementAndGeneralAmt |
| Fundraising | $3,840 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,708 | TotalAmt |
| Program Services | $58,463 | ProgramServicesAmt |
| Management And General | $35,164 | ManagementAndGeneralAmt |
| Fundraising | $4,081 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,125 | TotalAmt |
| Program Services | $208,148 | ProgramServicesAmt |
| Management And General | $219,977 | ManagementAndGeneralAmt |
| Fundraising | $48,000 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,709 | TotalAmt |
| Program Services | $83,422 | ProgramServicesAmt |
| Management And General | $55,287 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,820 | TotalAmt |
| Program Services | $15,145 | ProgramServicesAmt |
| Management And General | $8,675 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,663 | TotalAmt |
| Program Services | $74,357 | ProgramServicesAmt |
| Management And General | $52,057 | ManagementAndGeneralAmt |
| Fundraising | $5,249 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,276 | TotalAmt |
| Program Services | $63,980 | ProgramServicesAmt |
| Management And General | $296 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,312 | TotalAmt |
| Management And General | $17,312 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,564 | TotalAmt |
| Management And General | $10,564 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SYMPOSIUM | $551,249 | $551,249 | ||
| TELEPHONE AND WEBSITE | $141,327 | $67,982 | $65,779 | $7,566 |
| MEETINGS (BOARD) | $4,249 | $3,716 | $533 | |
| POSTAGE AND SHIPPING | $3,295 | $2,074 | $1,221 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,732,382 | TotalAmt |
| Program Services | $3,018,367 | ProgramServicesAmt |
| Management And General | $616,209 | ManagementAndGeneralAmt |
| Fundraising | $97,806 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,789,377 | BOYAmt |
| EOY | $77,667 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,077 | BOYAmt |
| EOY | $943,642 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,005 | BOYAmt |
| EOY | $730,200 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,200 | BOYAmt |
| EOY | $3,615 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,256 | BOYAmt |
| EOY | $41,867 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,701 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $38,516 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,032 | BOYAmt |
| EOY | $14,185 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $671,313 | BOYAmt |
| EOY | $733,855 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,303 | BOYAmt |
| EOY | $106,793 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,875,563 | BOYAmt |
| EOY | $2,651,824 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,952 | BOYAmt |
| EOY | $93,454 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,345 | BOYAmt |
| EOY | $185,995 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,932 | BOYAmt |
| EOY | $101,591 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $779,229 | BOYAmt |
| EOY | $381,040 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,663,600 | BOYAmt |
| EOY | $920,786 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,734 | BOYAmt |
| EOY | $1,349,998 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,096,334 | BOYAmt |
| EOY | $2,270,784 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,875,563 | BOYAmt |
| EOY | $2,651,824 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $186,046 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$11,596 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,180,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,631,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,108,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,475,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,091,531 | CurrentTaxYearAmt |
| Total | $21,487,935 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $716,693 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $717,465 | CurrentTaxYearAmt |
| Total | $1,434,158 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,180,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,631,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,108,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,191,960 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,808,996 | CurrentTaxYearAmt |
| Total | $22,922,093 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $22,922,093 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,335 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,138 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,526 | CurrentTaxYearAmt |
| Total | $220,606 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,323 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,335 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,138 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $87,526 | CurrentTaxYearAmt |
| Total | $220,606 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $299,573 | CurrentTaxYearMinus3YearsAmt |
| Total | $299,573 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,222,791 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,961,734 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,134,127 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,227,098 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,896,522 | CurrentTaxYearAmt |
| Total | $23,442,272 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97780 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98050 | PublicSupportPY509Pct |
| Investment Income CY | 0.00940 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00650 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,551 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,366 | DepreciationAmt |
| Book Value | $14,185 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,150 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,185 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS | Desc |
| Book Value | $733,855 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $733,855 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITIES | Desc |
| Amt | $101,591 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $101,591 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,923,261 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$11,596 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $16,429 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $4,833 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,918,428 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,918,428 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,748,811 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $16,429 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $16,429 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,732,382 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,732,382 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ASSOCIATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX EFFECT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF GENERAL AND ADMINISTRATIVE EXPENSES WHEN ASSESSED. THE ASSOCIATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) AND ITS DETERMINATION THAT IT HAS NO UNRELATED BUSINESS INCOME AS TAX POSITIONS; HOWEVER, THE ASSOCIATION HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. INCOME TAX YEARS ENDED PRIOR TO DECEMBER 31, 2020 ARE NO LONGER SUBJECT TO AUDIT BY TAXING AUTHORITIES. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (49 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ANNE KASTOR BROOKLYN FREE CLINIC | ||||||||
| MSC 1219 450 CLARKSON AVE | BROOKLYN | NY | 112032098 | 562273242 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| CARE RING | ||||||||
| 601 E FIFTH STREET SUITE 140 | CHARLOTTE | NC | 28202 | 560621073 | 501(C)(3) | $50,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| COMMUNITYHEALTH | ||||||||
| 2611 W CHICAGO AVE | CHICAGO | IL | 60622 | 363831793 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| GRACE MEDICAL HOME INC | ||||||||
| 1417 E CONCORD STREET | ORLANDO | FL | 32803 | 261817966 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| GRASSROOTS HEALTHCARE FOUNDATION | ||||||||
| 743 E TABOR AVE FAIRFIELD CA 94533 | FAIRFIELD | CA | 94533 | 320600776 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| GREENVILLE FREE MEDICAL CLINIC | ||||||||
| PO BOX 8993 | GREENVILLE | SC | 29604 | 570855205 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| HELPING HANDS OF MIDDLE & WEST TENNESSEE | ||||||||
| 1408 NORTH HIGHLAND AVENUE | JACKSON | TN | 38301 | 811043752 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| LESTONNAC FREE CLINIC | ||||||||
| 1215 E CHAPMAN | ORANGE | CA | 92866 | 953499011 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| LIFESPRING COMMUNITY HEALTH | ||||||||
| 1042 EAST 3RD STREET SUITE 200 | CHATTANOOGA | TN | 37403 | 273856741 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| MATTHEW 25 INC | ||||||||
| 413 E JEFFERSON BLVDFORT WAYNE | FORT WAYNE | IN | 46845 | 351484951 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| MIDVALE COMMUNITY BUILDING COMMUNITY INC | ||||||||
| 49 WEST CENTER STREET 1 | MIDVALE | UT | 84047 | 460548747 | 501(C)(3) | $40,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| NAPA ACUPUNCTURE PRACTICE | ||||||||
| 411 FREEWAY DR | NAPA | CA | 945585869 | 814145087 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| OHIO VALLEY HEALTH CENTER | ||||||||
| 423 SOUTH ST | STEUBENVILLE | OH | 43952 | 203924355 | 501(C)(3) | $50,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| PHYSICIANS CARECONNECTION | ||||||||
| 1390 DUBLIN RD | COLUMBUS | OH | 43215 | 311373719 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| POINT WASHINGTON MEDICAL CLINIC INC | ||||||||
| 1290 N CO HWY 395 | SANTA ROSA BEACH | FL | 32459 | 831125021 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| SHEPHERD'S CLINIC | ||||||||
| 2800 KIRK AVE | BALTIMORE | MD | 21218 | 521739001 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| ST VINCENT DE PAUL CHARITABLE PHARMACY | ||||||||
| 1125 BANK STREET | CINCINNATI | OH | 45214 | 300272954 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| SYMBA CENTER | ||||||||
| 20601 HWY 18 SUITE 171 | APPLE VALLEY | CA | 92307 | 843729902 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| TOLEDOLUCAS COUNTY CARENET | ||||||||
| 3231 CENTRAL PARK W STE 200 | TOLEDO | OH | 43617 | 431986672 | 501(C)(3) | $25,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| VIM BERKSHIRES | ||||||||
| 777 MAIN STREET SUITE 4 | GREAT BARRINGTON | MA | 01230 | 900140004 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| VOLUNTEERS IN MEDICINE SAN FRANCISCO - DBA CLINIC BY THE BAY | ||||||||
| 4877 MISSION ST | SAN FRANCISCO | CA | 94112 | 262593712 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| WEST VIRGINIA HEALTH RIGHT INC | ||||||||
| 1520 WASHINGTON STREET EAST | CHARLESTON | WV | 25311 | 311066881 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| CARIDAD CENTER INC | ||||||||
| 645 WEST BOYNTON BEACH BLVD | BOYNTON BEACH | FL | 33472 | 650149423 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| CHRIST CLINIC | ||||||||
| 25722 KINGSLAND BLVD STE 101 | KATY | TX | 77494 | 900789318 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| CLINICA TEPATIKNIGHTS LANDING ONE HEALTH CENTER | ||||||||
| 1820 J STREET | SACRAMENTO | CA | 95811 | 942324682 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| COMMUNITY VOLUNTEERS IN MEDICINE | ||||||||
| 300B LAWRENCE DRIVE | WEST CHESTER | PA | 19380 | 232944553 | 501(C)(3) | $50,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| DOWNTOWN CLINIC | ||||||||
| 611 S 2ND STREET | LARAMIE | WY | 82070 | 830326354 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| GRACE CLINIC | ||||||||
| 800 W CANAL DR | KENNEWICK | WA | 99336 | 770592408 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| ICNA RELIEF USA | ||||||||
| 3650 SAVANNAH PLACE | DUKUTH | GA | 300964898 | 043810161 | 501(C)(3) | $50,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| INTERFAITH HEALTH CENTER | ||||||||
| 315 GILL AVENUE | KNOXVILLE | TN | 37917 | 581947641 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| LATINO LEADERSHIP INC | ||||||||
| 8617 E COLONIAL DR STE 1600 | ORLANDO | FL | 32817 | 593702613 | 501(C)(3) | $70,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| LLOYD F MOSS FREE CLINIC | ||||||||
| 1201 SAM PERRY BLVD | FREDERICKSBURG | VA | 22401 | 541677934 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| MIAMI RESCUE MISSION CLINIC | ||||||||
| 2016 NW 1ST AVE | MIAMI | FL | 331274902 | 451481860 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| NOVA SCRIPTSCENTRAL | ||||||||
| 6400 ARLINGTON BLVD STE 120 | FALLS CHURCH | VA | 220422349 | 651275162 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| OSCEOLA COUNTY COUNCIL ON AGING | ||||||||
| 700 GENERATION POINT | KISSIMMEE | FL | 34744 | 591595398 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| POCATELLO FREE CLINIC | ||||||||
| 1001 N 7TH AVENUE STE 155 | POCATELLO | ID | 83201 | 820351133 | 501(C)(3) | $25,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| PONCE MEDICAL SCHOOL FOUNDATION INC | ||||||||
| PO BOX 7004 | PONCE | PR | 007327004 | 660379122 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| PRESBYTERIAN COUNSELING CENTER | ||||||||
| 430 BRADDOCK AVE | DAYTONA BEACH | FL | 32118 | 592750846 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| SAMARITAN HEALTH AND WELLNESS CENTER INC | ||||||||
| 643 CAPE CORAL PARKWAY EAST | CAPE CORAL | FL | 33904 | 460922358 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| SAVIE HEALTH | ||||||||
| 111 OCEAN AVE 2 | LOMPOC | CA | 93436 | 861668790 | 501(C)(3) | $50,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| ST MARY'S HEALTH CLINIC | ||||||||
| 1884 RANDOLPH AVE | ST PAUL | MN | 55105 | 411760632 | 501(C)(3) | $50,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| SUNDARI FOUNDATION INC | ||||||||
| 217 NORTHWEST 15TH ST | MIAMI | FL | 33136 | 810652266 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| THE CHARITABLE HEALTHCARE NETWORK | ||||||||
| 88 EAST BROAD STREET STE 1475 | COLUMBUS | OH | 43215 | 223769296 | 501(C)(3) | $10,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| THE FREE MEDICAL CLINIC | ||||||||
| 1875 HARDEN ST | COLUMBIA | SC | 29204 | 570779279 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| THE OLYMPIA FREE CLINIC | ||||||||
| PO BOX 6310 | OLYMPIA | WA | 98507 | 271606329 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| UCSD STUDENT-RUN FREE CLINIC PROJECT | ||||||||
| PO BOX 741539 | LOS ANGELES | CA | 900751539 | 501(C)(3) | $30,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED | |
| UNIVERSITY OF SOUTH ALABAMA STUDENT RUN FREE CLINIC | ||||||||
| 258 JACKSON BLVD | MOBILE | AL | 36609 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED | |
| VIRGINIA B ANDES VOLUNTEER COMMUNITY CLINIC INC | ||||||||
| 21297 OCEAN BLVD | PORT CHARLOTTE | FL | 33952 | 650958642 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| YALE UNIVERSITY | ||||||||
| PO BOX 1873 | NEW HAVEN | CT | 065081973 | 060646973 | 501(C)(3) | $20,000 | $0 | TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 49 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANT FUNDING CLINICS MUST SIGN A LETTER THAT STATES THEY UNDERSTAND THE REQUIREMENTS OF THE GRANT AND THEY MUST REPORT TWO TIMES A YEAR USING AN ELECTRONIC PORTAL. A REPORT IS MADE TO SUMMARIZE THE FUNDS STATUS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NICOLE LAMOUREUX | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $205,833 | $0 | $0 | $0 | $0 | $0 | $5,881 | $0 | $0 | $0 | $211,714 | $0 | $0 | $0 |
| KERRY THOMPSON | ||||||||||||||
| VICE PRESIDENT | $145,833 | $0 | $0 | $0 | $0 | $0 | $3,900 | $0 | $6,496 | $0 | $156,229 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERSHIP IS COMPOSED OF FREE CLINICS AROUND THE COUNTRY THAT PAY DUES TO BE A MEMBER. THE BOARD IS ELECTED AT AN ANNUAL MEETING OF THE MEMBERSHIP OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS ELECT OFFICERS AT THE ANNUAL MEETING OF THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS ARE PROVIDED WITH A DRAFT OF THE 990 AND GIVEN A PERIOD OF TIME FOR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD MUST SIGN THE CONFLICT OF INTEREST FORM AND BOARD COMMITMENT FORM ANNUALLY AND RETURN TO THE NAFC STAFF. |
| FORM 990, PART VI, SECTION B, LINE 15 | THERE IS AN EXECUTIVE COMMETTEE ESTABLISHED WHO REVIEWS AND SETS THE GOALS FOR THE CEO POSITION. THE CEO IS THEN ASSESSED AND EVALUATED ANNUALLY BASED ON GOALS. THE COMMITTEE RESEARCHES INDUSTRY WAGE REPORTS AND ANNUALLY REVIEWS SALARY LEVELS FOR COMPARABILITY. OTHER TOP MANAGEMENT POSITIONS ARE REVIEWED BY BOARD MEMBERS BASED ON ANNUAL GOAL CRITERIA. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS ARE MADE AVAILABLE AT THE OFFICES OF THE ORGANIZATION. |
| FORM 990, PART IX, LINE 11G | BANK, MERCHANT, AND LICENSE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,567. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 208,148. MANAGEMENT AND GENERAL EXPENSES 196,410. FUNDRAISING EXPENSES 48,000. TOTAL EXPENSES 452,558. |
| PART XII, LINE 2C | PROCESS HAS REMAINED UNCHANGED SINCE PRIOR YEAR. |